Friday, April 14, 2017

An Affordable Online Program That Helps Non-Verbal Kids Learn to Speak

I recently found out about an online video-based program called Gemiini that has helped thousands of non-verbal and low-verbal kids learn to speak—including kids with autism, Down Syndrome, and language delays.

My 3.5-year-old son has cerebral palsy and speaks only a few words, so when I found out about this program via a mom in a local special-needs Facebook group, who wrote about how much it had helped her daughter, I was instantly intrigued.

I went to Gemiini's website and came across stories of non-verbal children speaking their first words within the first few months—sometimes even on the first day—of watching Gemiini videos, and other stories of non-verbal children counting out loud, identifying shapes out loud, or even starting to speak in simple sentences within the first few months. These are children who had sometimes been in speech therapy for months or even years.

It sounded almost too good to be true. Is it?What is Gemiini?

The Gemiini program utilizes a technique that the founder developed called discrete video modeling. This technique strips language down to the components that are most essential for language comprehension and speech production.

For example, in the beginning of their Animals Part 1 video, a young woman says the word “crab” in front of a plain white background. As she says this word, a photograph of a crab and the typed word “crab” appear in the upper left of the screen.

The woman repeats the word “crab” a total of 5 times. Sometimes the camera zooms in so that her mouth fills the whole screen. In these shots, her vocalization is slowed down so that viewers can easily see the movements of her lips and tongue. At another time, the camera shifts to a plan white background, and then three crabs appear one at a time, each accompanied by the woman's vocalization of the word “crab.”

Adifferentyoung woman appears, again on a plain white background. She places her hands in a shrug position and says “What does a CRAB say?”

After a pause, the camera shifts to a boy and a girl who open and close their hands repeatedly, like a crab opening and closing its pincers.

The names of 4additional animals are presented in a similar manner.

The video is about 6.5 minutes long. At the beginning, and interspersed 3 more times throughout, is a 10- to 20-second segment of video of a young child dressed up as a fireman, pretending to put out fires.Each of these segments isset to fast-paced music (“Flight of the Bumble Bee”) and is designed to keep kids interested in watching the video the whole way through.

Using their discrete video modeling technique, Gemiini has produced more than 60,000 (!) videos. This may sound overwhelming. Where would I begin? you might think.

For many young children, Gemiini makes it easy to decide. They have a program called “Quick Start: Beginning Language For Young Learners" containing 219 videos, mostly about concepts often taught in the preschool years—e.g., animals, shapes, colors, and daily routines.

You can just have your child watch the videos in order, or you can pick and choose the ones that are most important for your child to focus on. You can even create customized videos for your child (more on that below).

Gemiini recommends that each video be viewed 40 times—optimally, twice in a row 3 times per day—before moving on to the next video. They can be viewed during meals, in the car to and from school, and during other daily routines (more on that below, too).

In a pilot study, a special education teacher in an Early Intervention
program used Gemiini for 1 whole school year with 8 children with
autism, including 6 who had low verbal skills and 2 who were non-verbal1.All of the students experienced large gains in attending
skills, social interactions, and language development, and the 2 non-verbal children were speaking in sentences
within 6 months.Another study compared the effectiveness of Gemiini (a discrete video modeling program) with a standard
video modeling program in improving expressive language in students with
autism and other disorders2.The study was a double-blind study, meaning that neither the researchers nor the students knew which program the students were getting, thereby helping to prevent bias in the study results. The study was conducted in a group setting over 3 weeks across 4 special-education classrooms. Compared with the standard video modeling program, Gemiini was found to significantly increase expressive vocabulary in the participants.

While only a handful ofstudies have yet been done on Gemiini, the initial results are promising.

Considering all of this, I decided to try out Gemiini for my son. I figured the program certainly couldn't hurt him, and given all of the positive anecdotes about it and the promising research, I was hopeful that it would in fact help him.

Registering for Gemiini was quick and easy. I just had to provide my contact and credit-card information and create usernames and passwords for myself and for my son.

After completing the registration, I was asked if I'd like to schedule a free phone call with a Gemiini representative who could help me get started. Hmm, why not? I thought, so I scheduled a call.At breakfast the next morning, last Thursday, my son watched his first Gemiini video, Animals Part 1. He was immediately interested. In fact, he was so engrossed
that he would not eat his breakfast while watching it.

My husband and I have discovered that other times of the day work better for us: after meals, while our son is still strapped into his high chair; during diaper changes; while he's getting changed into his pajamas; and sometimes just in the middle of the afternoon when we have a lull in our schedule.

my son watching a Gemiini video

Mysonhad
already been watching Baby Signing Time videos during many of these routines, so my husband and I just replaced those
videos with the Gemiini videos for the most part.

(Although, with our help, our son has learned a few signs from the Baby Signing Time videos, his progress has been slow, sowe've chosen to explore other possible modes of communicating with him.)

My son watched the Animals Part 1 video a total of 8 times that first day. That evening, I had my scheduled phone conversation with a Gemiini Product Specialist, whopleasantly answered any questions I had.

How do I know when my son is ready to move on to the next video? I wanted to know. I didn't think he'd be saying all (or, likely, any) of the words from the first video after 40 viewings in just 1 week.

She recommended having him watch the first video 40 times in succession and then going ahead and switching to the next video in order to prevent him from becoming bored. Then I could show the Animals Part 1 video intermittently thereafter, maybe a few times a week, so that he would continue to get exposed to those words.She also recommended creating a customized video, which is something she wished she had done earlier on with her own son. (That's right. She had used Gemiini with her own son, who is now 3.5 years old and, according to her, talking up a storm.)

She suggested that the customized videos contain words that are highly interesting to my son—and thus might be motivating for him to try to say—and then to show those videos (or video) maybe once or twice a day.

My husband soon created a customized video for our son containing the word "go," which is1 of 2 words that he says consistently. The video also includesthe names of motor vehicles that he likes, like buses and cars. My husband's idea was that by including "go" at the beginning of this video, he'd be stimulating our son to talk (since he often repeats "go" when he hears it) and potentially encouraging him to also try to say words that appear later in the video.

The first sign of progress in my son came on Day 4 of watching Gemiini's Animals Part 1 video. At the end of that video, 5 photographs are shown, 1 of each animal that had been introduced. A lady says “Point to [pause] the crab," andsomeone lifts up their arm from off-screen and points to the crab photo. The same thing happens with the other 4 photos.

On Day 4, after about 20 viewings total, my sonpicked up my hand and started using it to point to the animals as they were named. This is significant in that, while my son had correctlyidentified animals by pointing to them before (e.g., in books), he had been unfamiliar with the phrase "Point to ___"; I had always prompted him with "Where is the ___?"

So, either he learned the phrase "Point to ___" while watching the Gemiini video, or he was imitating the pointing motion that the person in the video was making. Either way, that's progress, since he doesn't always reliably imitate.The next sign of progress came on Day 5, when I received a note from his personal assistant at preschool saying that he "was trying to talk alot [sic], making sounds, moving his mouth." I hadn't told her or anyone else at his preschool that we were starting to use Gemiini. (I wanted to try it out at home first.) My husband and I have since noticed that he's been babbling a lot lately at home, too.

Of course, we can't say for sure that his increased babbling is because of Gemiini. But it is certainly a possibility.

On Day 8, after 40 viewings of the Animals Part 1 video, we switched to the Animals Part 2 video. One of the animals introduced in the video is a monkey, and in response to the question "What sound does a monkey make?", some kids in the video say "Ooh ooh aah aah!" The daymy son started watching the video, he started saying "Aah!" at this part. He's done it several times now, which tells me that he really is imitating the monkey sound rather than just making a random "Aah!" sound.

So, after a little over a week of using Gemiini, we've already seen several—albeit small—signs of progress. I'm excited to see what the future holds.

References

Gemiini Systems (2011). Gemiini Non-Clinical Trial - Comparing the Addition of GemIIni DVM to a School Setting with Children with Autism. https://gemiini.org/evidence/gemiini-non-clinical-trial-comparing-the-addition-of-gemiini-dvm-to-a-school-setting-with-children-with-autism#/get-started.

Gilmour, Maria F. (2015). Comparing the Teaching Efficacy of Two Video Modeling Programs Delivered in a Group Format in Special Education Classrooms to Improve Expressive Language. Journal of Special Education Technology 30(2): 112–121.

Disclaimer: I am not affiliated with Gemiini other than being a registered subscriber, and I was not paid for writing this post.

2 comments:

Hi, thank you for an interesting read! Have you continued with Gemiini? What do you think about it now..? I've thought about trying it for my non-verbal child, but not convinced yet that it would be worth the money (I have to be very strict with my spending)... :-)

Thanks for your comment, Malin! I'm glad that you found my post interesting. :-) Yes, I have continued using Gemiini with my son. He's still not talking except for a couple of words, but we've only been using Gemiini for about 6 months now (and inconsistently at times). I've heard of families using Gemiini for 9 months or even longer before really seeing significant gains in expressive language, so I haven't given up hope! I've definitely seen gains in his receptive language, which Gemiini is also good for. Have you done the free 7-day trial? If not, you could give that a go to get a better idea of whether or not it's worth the money for you. Good luck! :-)